Psychosocial, Behavioral, and HIV-Related Health Among Men Living with HIV Who Have a History of Incarceration
Year: 2025
Type: article
Abstract: Incarceration is intricately linked with the HIV epidemic, with incarcerated individuals exhibiting HIV prevalence rates three times higher than the general population. We used baseline data from the Multicenter AIDS Cohort Study (MACS)/Women's Interagency HIV Study (WIHS) Combined Cohort Study (MWCCS) to describe select health outcomes among men living with HIV (MWH) who have never been incarcerated and with a history of lifetime incarceration, specifically recent (within the past-year) and multiple incarcerations. Participants (N = 526) completed quantitative assessments of self-reported incarceration history, behavioral (e.g., antiretroviral therapy (ART) adherence, stimulant use) and psychosocial factors (e.g., depression, perceived stress), and provided biospecimens to assess immune function (i.e., CD4:CD8 ratio) and quantification of plasma HIV viral load. MWH with a history of any incarceration had significantly higher levels of depressive symptoms, recent stimulant use, detectable HIV viral load, and poorer ART adherence and lower CD4:CD8 ratios compared to MWH who had never been incarcerated. Among MWH with any incarceration, recent incarceration (versus not past-year) was associated with lower CD4:CD8 and poorer ART adherence. Recently incarcerated MWH were less often white and generally younger than MWH who had been incarcerated more than a year earlier, and MWH with multiple incarcerations more often identified as heterosexual compared to MWH who had only been incarcerated once. These findings underscore the critical need for tailored interventions aimed at MWH within a year following release from incarceration, focusing on enhancing mental health and HIV-related health outcomes.
Source: AIDS and Behavior
Institutions: University of Miami, University of Pittsburgh, University of Alabama, Northwestern University, University of California, Los Angeles, Whitman-Walker Health, Columbia University, Johns Hopkins University, Albert Einstein College of Medicine, University of North Carolina at Chapel Hill, University of California, San Francisco
Language: English
Subfield: Sociology and Political Science
Field: Social Sciences
Domain: Social Sciences
Open Access status: hybrid
Estimated APC paid: $4,590
Funders: Indiana Clinical and Translational Sciences Institute, Mucolipidosis IV Foundation, National Institute of Mental Health and Neurosciences, National Institutes of Health, Miami Center for AIDS Research, Center for AIDS Research, Emory University, School of Medicine, Johns Hopkins University, Center for AIDS Research, University of Alabama at Birmingham, National Institute on Alcohol Abuse and Alcoholism, National Institute on Aging, National Heart, Lung, and Blood Institute, National Institute of Mental Health, National Institute on Drug Abuse, National Cancer Institute, National Institute on Deafness and Other Communication Disorders, National Institute of Nursing Research, National Institute of Allergy and Infectious Diseases, National Institute of Diabetes and Digestive and Kidney Diseases, National Institute of Neurological Disorders and Stroke, National Institute of Dental and Craniofacial Research, Office of AIDS Research, National Center for Advancing Translational Sciences, National Institute on Minority Health and Health Disparities, Eunice Kennedy Shriver National Institute of Child Health and Human Development, Clinical and Translational Science Institute, University of California, San Francisco, Center for AIDS Research, University of North Carolina at Chapel Hill, Clinical and Translational Science Institute, University of California, Los Angeles, Einstein-Rockefeller-CUNY Center for AIDS Research, Albert Einstein College of Medicine, Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases
Awards: G144555574, G2630461588, G3094086834, G311558797, G3418878615, G4446291390, G483550985, G562934659, G5699974340, Clinical and Translational Science Institute, University of Miami Developmental HIV/AIDS Mental Health Research Center (D-ARC), Johns Hopkins Institute for Clinical and Translational Research, G9000010044, G9000025681, G9000030090, G9000037749, G9000041916, G9000050451, G9000066220, G9000088144, G9000093720, G9000126122, G9000126231, G9000132212, ERC Einstein-Rockefeller-CUNY Center for AIDS research, UNC MACS/WIHS Combined Cohort Study Clinical Research Site, Surviving the HIV Epidemic (S/HE) in metropolitan Washington DC - Advancing knowledge through cohort studies, Center for AIDS Research at Emory University, The University of North Carolina Center for AIDS Research, Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS) - Baltimore/Wash DC Center, The University of Miami AIDS Research Center on Mental Health and HIV/AIDS - Center for HIV & Research in Mental Health (CHARM), Miami Center for AIDS Research, UCLA Clinical and Translational Science Institute, Clinical Research Sites for the MACS/WIHS Combined Cohort Study (MACS/WIHS-CCS), UAB Center for AIDS Research (CFAR)
OpenAlex ID: W4415146097